School Re-Entry Reflection

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This past week was my fourth full week on the medical/surgical floors, and while four west is still my primary unit, I had a unique opportunity to attend a school re-entry with the hem/onc child life specialist, Taryn, and the hem/onc art therapist, Emily. The school re-entry was for a 12-year-old male, who has recently finished treatment at Norton Children’s Hospital for Burkitt’s Lymphoma. This particular school re-entry was on Wednesday, February 1, 2017, and included a presentation and art activity with 130 seventh and eighth graders at a Catholic school in a higher socioeconomic status area of Louisville, Kentucky. For this program, I mainly observed and helped to pass out/complete/clean up the art activity, but I thought that this …show more content…

Taryn mentioned that she has a template for school re-entry presentations and that she edits them to be developmentally appropriate and informative. My coordinator asked me what I would personally consider when editing the template and I said the group's developmental age range and they’re previous knowledge of the patient’s cancer (i.e., has the school educated on this type of cancer already, what they’ve learned in their science courses, etc.). Taryn and I discussed the theoretical foundations of child life in this intervention decision making through Piaget’s Cognitive Stages of Development and Erikson’s Psychosocial Stages of Development. For example, the classmates are in Piaget’s concrete operational and formal operational stages of cognitive development, where some of the students are able to think abstractly but the majority still require concrete language and concrete examples. This was evident in some of the questions the students asked regarding Burkitt’s Lymphoma that were a bit abstract and Taryn was able to provide more concrete examples to help explain her answers to the entire group. Additionally, the students are in Erikson’s industry v. inferiority and identity v. role confusion stages of psychosocial development, where they are developing a sense of right or wrong, finding pride in social interactions/accomplishments, and are exploring their self-identities. This was evidenced by other questions following the presentation such as what is safe to do with the patient (no sports), will his hair grow back (self-identity), and questions about the Lego kits the patient completed (social interactions/accomplishments). If I were to do this school re-entry for this age group, I wouldn’t have changed a thing—Taryn covered all of her bases. Taryn told me that after about the second school re-entry you get

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